Peace Of Mind Pediatrics Pllc | |
5476 Main Street 104 Del City OK 73115 | |
(405) 602-5166 | |
(405) 602-5461 |
Full Name | Peace Of Mind Pediatrics Pllc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 5476 Main Street, Del City, Oklahoma |
Authorized Official Name and Position | Noor Jihan Abdul-haqq (OWNER) |
Authorized Official Contact | 4056025166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peace Of Mind Pediatrics Pllc 5476 Main Street Suite 104 Del City OK 73115-5112 Ph: (405) 602-5166 | Peace Of Mind Pediatrics Pllc 5476 Main Street 104 Del City OK 73115 Ph: (405) 602-5166 |
NPI Number | 1326425588 |
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Provider Enumeration Date | 04/27/2015 |
Last Update Date | 10/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326425588 | NPI | - | NPPES |
200455340A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 29433 (Oklahoma) | Primary |
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